Depression: An important factor associated with disability among patients with chronic low back pain

被引:50
作者
Hung, Ching-I [1 ,2 ]
Liu, Chia-Yih [1 ,2 ]
Fu, Tsai-Sheng [2 ,3 ]
机构
[1] Chang Gung Mem Hosp Linko, Dept Psychiat, Taoyuan, Taiwan
[2] Chang Gung Univ, Coll Med, Taoyuan, Taiwan
[3] Chang Gung Mem Hosp Keelung, Dept Orthoped, Taoyuan, Taiwan
关键词
Anxiety; depression; disability; low back pain; somatization; SOMATIC SYMPTOMS SCALE; HOSPITAL ANXIETY; RISK-FACTORS; DISORDERS;
D O I
10.1177/0091217415573937
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective The study aimed to compare the associations of pain indices, depression, anxiety, and somatic symptoms with disability among outpatients with chronic low back pain (CLBP). Method Consecutive orthopedics outpatients with CLBP in a medical center were enrolled. The Oswestry Disability Index and physical functioning and role limitations-physical of the Short-Form 36 were used as disability indices. The Hospital Anxiety and Depression Scale (HADS) and the Depression and Somatic Symptoms Scale were employed. Pain intensity was rated using a visual analogue scale. Multiple linear regressions were used to determine the impacts of these independent factors related to disability. Results Among 225 participants (122 male, 103 female) with CLBP, patients with major depressive disorder and associated leg symptoms of CLBP had higher disability indices. A tendency was noted that depression (HADS-depression) had the highest correlation to the three disability indices, followed by pain intensity, anxiety, and somatic symptoms. After controlling for demographic variables, HADS-depression explained the highest variance of disability, followed by pain intensity. Conclusion Depression was the most powerful factor associated with disability of CLBP among depression, anxiety, and somatic symptoms. Depression should be evaluated when investigating disability among patients with CLBP.
引用
收藏
页码:187 / 198
页数:12
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